Balice-Bourgois Colette, Anselmi Luciano, Schild Barbara, Zumstein-Shaha Maya, Mendoza-Sagaon Mario
Department of Pediatric, Institute of Pediatrics of Southern Switzerland, Ente Ospedaliero Cantonale, 6500 Bellinzona, Switzerland.
Department of Anesthesia, Institute of Pediatrics of Southern Switzerland, Ente Ospedaliero Cantonale, 6500 Bellinzona, Switzerland.
Children (Basel). 2024 Sep 6;11(9):1091. doi: 10.3390/children11091091.
Managing pain and distress in children experiencing procedural pain is a priority in pediatric care. Nitrous oxide (pre-mixed formulation of 50% nitrous oxide to 50% oxygen) is widely used to alleviate anxiety or pain during care procedures in various medical domains. This pharmacological intervention is safe to administer to children. Administration by non-anesthesiologist personnel is widespread throughout the world, though it is almost exclusively performed by doctors and nurses. The purpose of this study is to describe the experience of nitrous oxide (NO) use by medical assistants and safe handling during the performance of painful procedures.
A retrospective study was conducted in a pediatric outpatient unit of a regional hospital, including medical and surgical consultations.
Nitrous oxide was administered by medical assistants to 324 children aged 3 to 19 years. No respiratory and/or cardiovascular problems were noted. Most patients were calm and relaxed.
The use of NO for minor procedures in children in a pediatric outpatient unit improved pain management through administration by medical assistants with a high level of satisfaction from patients, parents and health professionals.
This study suggests that the use of nitrous oxide by trained medical assistants can be safe, feasible and effective within the specific context of this study.
在儿科护理中，管理经历程序性疼痛的儿童的疼痛和痛苦是首要任务。一氧化二氮（50%一氧化二氮与50%氧气的预混制剂）被广泛用于减轻各个医学领域护理程序中的焦虑或疼痛。这种药物干预对儿童给药是安全的。非麻醉科人员给药在全世界都很普遍，不过几乎都是由医生和护士进行。本研究的目的是描述医疗助理使用一氧化二氮（NO）的经验以及在进行疼痛程序时的安全操作。
在一家地区医院的儿科门诊进行了一项回顾性研究，包括内科和外科会诊。
医疗助理对324名3至19岁的儿童使用了一氧化二氮。未观察到呼吸和/或心血管问题。大多数患者平静且放松。
在儿科门诊对儿童进行小手术时使用NO，通过医疗助理给药改善了疼痛管理，患者、家长和卫生专业人员满意度很高。
本研究表明，在本研究的特定背景下，由经过培训的医疗助理使用一氧化二氮是安全、可行且有效的。
